Topic

StrataGraft (allogeneic cultured keratinocytes & fibroblasts in murine collagen-dsat)

A collection of 29 issues

How to Get StrataGraft Approved by Cigna in Illinois: Complete Prior Authorization & Appeals Guide

Answer Box: Getting StrataGraft Covered by Cigna in Illinois StrataGraft requires prior authorization from Cigna in Illinois and is covered under the medical benefit using HCPCS code J7353. The fastest path to approval: (1) Confirm deep partial-thickness thermal burn diagnosis with proper ICD-10 coding, (2) Submit PA request via Cigna

Myths vs. Facts: Getting StrataGraft Covered by Blue Cross Blue Shield in Georgia (2025 Guide)

Quick Answer: StrataGraft Coverage by Blue Cross Blue Shield Georgia StrataGraft requires prior authorization from Blue Cross Blue Shield Georgia and must be billed as a facility-based medical service—not through pharmacy benefits. Coverage is approved for deep partial-thickness burns when autografting is not suitable. If denied, you have 60

Getting StrataGraft Covered by Blue Cross Blue Shield in Washington: Prior Authorization Guide, Appeals Process & Alternative Options

Answer Box: Getting StrataGraft Covered by BCBS Washington StrataGraft requires prior authorization from Blue Cross Blue Shield in Washington. The fastest path: 1) Have your burn center submit PA documentation showing deep partial-thickness burns with intact dermis and contraindications to autografting, 2) Include clinical photos and failed standard therapy records,

Myths vs. Facts: Getting StrataGraft Covered by Blue Cross Blue Shield in Texas (2025 Guide)

Quick Answer: StrataGraft Coverage Through BCBS Texas Getting StrataGraft approved by Blue Cross Blue Shield of Texas requires facility-based medical billing (not pharmacy), thorough burn documentation, and often prior authorization. The fastest path: have your burn surgeon submit detailed medical necessity documentation showing why autografting isn't suitable, use

Myths vs. Facts: Getting StrataGraft Covered by Aetna (CVS Health) in Michigan - Prior Authorization Guide

Answer Box: StrataGraft Coverage by Aetna (CVS Health) in Michigan Eligibility: Adults 18+ with deep partial-thickness thermal burns requiring surgical intervention when autograft isn't available or feasible. Fastest path: Submit prior authorization via Aetna provider portal using HCPCS code J7353 with complete wound documentation, burn depth assessment, and

How to Get StrataGraft Covered by Humana in New Jersey: Prior Authorization Guide and Appeals Process

Answer Box: Quick Path to StrataGraft Coverage StrataGraft requires prior authorization from Humana Medicare Advantage plans in New Jersey for adults with deep partial-thickness thermal burns. Key steps: 1) Confirm diagnosis with ICD-10 codes T21-T31, 2) Submit PA request via Humana provider portal using HCPCS J7353 with wound measurements and

StrataGraft Coverage by Humana in Virginia: Prior Authorization Guide, Appeals, and Decision Tree

Answer Box: StrataGraft Coverage by Humana in Virginia StrataGraft requires prior authorization under Humana Medicare Advantage plans in Virginia. For adults with deep partial-thickness thermal burns, approval typically takes 15 business days when properly documented. First step today: Have your burn center submit a PA request through Humana's

Myths vs. Facts: Getting StrataGraft Covered by Cigna in Washington (Appeals Guide & Documentation Tips)

Answer Box: Getting StrataGraft Covered by Cigna in Washington StrataGraft requires prior authorization from Cigna and is only covered for FDA-approved deep partial-thickness thermal burns in adults. Common myths include believing all doctor prescriptions are automatically covered and that pharmacy billing is correct. Reality: You need detailed burn documentation, proper

How to Get StrataGraft Covered by Humana in Illinois: Coding, Appeals & Prior Authorization Guide

Answer Box: StrataGraft requires prior authorization from Humana Medicare Advantage in Illinois, billed as medical benefit using HCPCS J7353. Submit PA request with ICD-10 burn codes (T21-T31), wound measurements, and clinical documentation. If denied, file internal appeal within 60 days, then Illinois external review within 4 months. Start today: gather